Effects of aerobic, strength, and combined exercise on cognitive functions in older adults: a systematic review

Authors

  • Enrique Cerda-Vega Exercise and Rehabilitation Sciences Institute, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago de Chile 7591538, Chile https://orcid.org/0000-0003-0813-3695
  • Catalina Irarrázabal-Guerra Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago de Chile 7591538, Chile
  • Leyla Sabja-Sepúlveda Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago de Chile 7591538, Chile
  • Nasley Guajardo-Sandoval Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago de Chile 7591538, Chile
  • Nicolas Roa-Chiarleoni Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago de Chile 7591538, Chile
  • Verónica Morales-Sánchez Department of Social Psychology, Social Anthropology, Social Work and Social Services, University of Málaga, 29071 Málaga, Spain
  • Rafael E. Reigal Department of Social Psychology, Social Anthropology, Social Work and Social Services, University of Málaga, 29071 Málaga, Spain https://orcid.org/0000-0001-6689-6936
  • Nuria Pérez-Romero Exercise and Rehabilitation Sciences Institute, Postgraduate, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago de Chile, Chile https://orcid.org/0000-0003-2070-5422

DOI:

https://doi.org/10.47197/retos.v60.107701

Keywords:

prevention, aging, cognition, cognitive impairment, rehabilitation

Abstract

Introduction: Aging is associated with a decline in cognitive functions, increasing the risk of neurocognitive impairment and limitation of activities of daily living and participation. Previous literature has pointed to physical exercise as an effective intervention; however, its characteristics still need to be specified. Objective: The aim was to synthesize the appropriate intensity, duration, frequency, and type of exercise for different types of cognitive variables. Method: A systematic review was carried out according to PRISMA, using three databases: PubMed, Scopus, and Web of Science. Experimental longitudinal studies were included, whether randomised or not, which performed physical exercise and with a control group in people over 60 years of age. Methodological quality was assessed using the PEDro scale. Results: The results yielded 11 studies finding significant improvements in all of them after performing the intervention (7 of aerobic exercise, 3 of resistance exercise and 2 of combined exercise) finding improvements in attention, memory, processing speed, executive function, inhibition, concentration, perceptual reasoning, orientation, visuospatial perception, and visuomotor organisation. Conclusions: Physical exercise appears to be a beneficial intervention for cognition in older people, with aerobic exercise being the most studied, although further research is needed. The results could benefit decision-making in rehabilitation to work on cognition in cognitively healthy older people.

Keywords: prevention; aging; cognition; cognitive impairment; rehabilitation.

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01-11-2024

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Theoretical systematic reviews and/or meta-analysis

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Cerda-Vega, E., Irarrázabal-Guerra, C., Sabja-Sepúlveda, L., Guajardo-Sandoval, N., Roa-Chiarleoni, N., Morales-Sánchez, V., Reigal, R. E., & Pérez-Romero, N. (2024). Effects of aerobic, strength, and combined exercise on cognitive functions in older adults: a systematic review. Retos, 60, 1341-1355. https://doi.org/10.47197/retos.v60.107701